COVID-19 疫情期间中心供应室工作人员的心理状态及 CART 分析。

Mental state of central sterile supply department staff during COVID-19 epidemic and CART analysis.

机构信息

Central Sterile Supply Department, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.

出版信息

BMC Health Serv Res. 2020 Nov 4;20(1):1006. doi: 10.1186/s12913-020-05864-5.

DOI:10.1186/s12913-020-05864-5

PMID:33148244

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7609829/

Abstract

BACKGROUND

During the COVID-19 epidemic, the central sterile supply department (CSSD) staff handled many devices, implements and non-disposable protective articles used by suspected or confirmed COVID-19 patients. As a result, the CSSD staff may have experienced psychological stress, however, the mental state of the CSSD staff during the COVID-19 epidemic has been rarely studied. We aim to investigate the mental state of the CSSD staff and relevant influencing factors experienced during the COVID-19 epidemic.

METHODS

The survey utilising a general information questionnaire, Chinese perceived stress scale (CPSS), self-rating anxiety scale (SAS), and Connor-Davidson resilience scale (CD-RISC) was conducted with 423 CSSD staff members from 35 hospitals in Sichuan Province, China. Data was analysed in SPSS24.0. Classification and regression tree (CART) was utilised to analyse variables and find variation between groups. A chi-square test was performed on enumeration data, and t-test and analysis of variance were performed on measurement data.

RESULTS

The CSSD staff's SAS score was 37.39 ± 8.458, their CPSS score was 19.21 ± 7.265, and their CD-RISC score was 64.26 ± 15.129 (Tenacity factor score: 31.70 ± 8.066, Strength factor score: 21.60 ± 5.066, Optimism factor scores: 10.96 ± 3.189). The CPSS score was positively correlated with the SAS score (r = 0.66; P < 0.01), the CPSS score was negatively correlated with the CD-RISC score (r = - 0.617, P < 0.01), and the SAS score was negatively correlated with the CD-RISC score (r = - 0.477, P < 0.01). The job position, age, and political status of the CSSD staff were the main factors affecting their mental state; for example, the CPSS score and SAS score of the CSSD nurses were significantly different from those of the CSSD logistic staff (P < 0.01).

CONCLUSION

During the epidemic, the CSSD staff's psychological resilience was at a low level; the anxiety level of the CSSD nurses was higher than that of the CSSD logistic staff. Therefore, more attention should be given to the mental health of the CSSD staff, including taking protective measures regarding the risk factors to ensure they can maintain a healthy mental state.

摘要

背景

在 COVID-19 疫情期间，中心供应室（CSSD）工作人员处理了许多疑似或确诊 COVID-19 患者使用的设备、器具和非一次性防护用品。因此，CSSD 工作人员可能经历了心理压力，然而，CSSD 工作人员在 COVID-19 疫情期间的精神状态很少被研究。我们旨在调查 COVID-19 疫情期间 CSSD 工作人员的精神状态和相关影响因素。

方法

采用一般信息问卷、中文版感知压力量表（CPSS）、焦虑自评量表（SAS）和 Connor-Davidson 韧性量表（CD-RISC）对来自中国四川省 35 家医院的 423 名 CSSD 工作人员进行调查。数据在 SPSS24.0 中进行分析。分类回归树（CART）用于分析变量并发现组间差异。计数数据采用卡方检验，计量数据采用 t 检验和方差分析。

结果

CSSD 工作人员的 SAS 得分为 37.39±8.458，CPSS 得分为 19.21±7.265，CD-RISC 得分为 64.26±15.129（坚韧因子得分为 31.70±8.066，力量因子得分为 21.60±5.066，乐观因子得分为 10.96±3.189）。CPSS 评分与 SAS 评分呈正相关（r=0.66；P<0.01），CPSS 评分与 CD-RISC 评分呈负相关（r=-0.617，P<0.01），SAS 评分与 CD-RISC 评分呈负相关（r=-0.477，P<0.01）。CSSD 工作人员的岗位、年龄和政治地位是影响其心理状态的主要因素；例如，CSSD 护士的 CPSS 评分和 SAS 评分与 CSSD 后勤人员的评分有显著差异（P<0.01）。